PENNIE KHONG NP
NPI 1770192924
Nurse Practitioner - Family in Copperopolis, CA
About Pennie Khong Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENNIE KHONG NP (NPI 1770192924) is an individual family provider in Copperopolis, California, licensed in Washington (AP61090460) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pennie Khong Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Virginia Mason Medical Center
Acute Care Hospitals · Seattle, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pennie Khong's NPI number?
The NPI number for Pennie Khong is 1770192924. It was assigned to this individual provider in the NPPES registry on July 23, 2020.
Where is Pennie Khong located?
Pennie Khong practices at 3505 Spangler Ln Ste 400, Copperopolis, CA 95228. The listed phone number is (209) 785-7000.
What is Pennie Khong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pennie Khong enrolled in Medicare?
Yes. Pennie Khong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Pennie Khong affiliated with any hospitals?
According to CMS data, Pennie Khong is affiliated with Virginia Mason Medical Center.
When was this NPI record last updated?
The NPPES record for Pennie Khong was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pennie Khong, NP · NPI 1770192924
Family physician in Copperopolis, California. Individual provider, active in the CMS NPPES registry since July 23, 2020.
## Identity
- **NPI:** 1770192924 (Entity type: Individual)
- **Enumerated:** July 23, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61090460 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3505 SPANGLER LN STE 400, Copperopolis, CA 95228-9424
- **Phone:** (209) 785-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770192924) · Data from the CMS NPPES public registry.